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Chapter 704: No longer a porter?

Rena City People's Hospital.

Cancer center conference room.

The lights are turned off and only the projection screen is on.

What appears on the screen is Dr. Wang’s condition introduction.

In addition to Qin Guoqiang, there are also Xiong Lingling, director of the Municipal Hepatobiliary and Pancreatic Center, and Liang Fan, an expert from the Provincial People's Hospital.

They are the core of this preoperative consultation and discussion of treatment ideas.

The results of the study will determine how the next surgery should be performed.

The three of them are all backbones in this field in China. Although they have different training backgrounds, they are all closely related in terms of seniority.

The masters of Qin Guoqiang and Xiong Lingling are brothers in the same discipline.

Their mentors are all descendants of Hong Lao, the founder of the field of liver, gallbladder and pancreas in China.

Liang Fan and Qin Guoqiang were roommates during their master's degree. Later, they also went to Germany to study together, and they had a good personal relationship.

This is the case in the medical community.

Not only does Chinese medicine pay attention to the inheritance of legacy, but in fact, Western medicine’s mentorship and connections are even more important.

Even if you don't have a camp at the beginning, as long as you show a little talent, someone will pull you into the circle.

Of course, after entering the circle, how far you can develop depends on your own luck.

Compared with other industries, cooperation is greater than competition in the medical circle.

One hero and three gangs.

Supporting each other and making progress together is the main theme.

After all, there are billions of people in the world, and people are getting sick every day. No matter how talented you are, you cannot treat all the patients.

The better the medical skills, the more patients there will be.

Even those with poor medical skills can make a living.

Among the three, Qin Guoqiang has the highest level.

Qin Guoqiang is one of the "Tianhua Three Strong" with Jiang Qiang.

He has reached the level of a well-known expert in the field of liver, gallbladder and pancreas, and has the strength to challenge Yangtze River scholars.

If you give it a few more years, you might have a chance to become an academician.

Qin Guoqiang explained his surgical ideas in a simple and clear way.

If you are not a master who has performed hundreds of surgeries, you will never be able to do it so easily.

Zhao Yuan listened thoughtfully to Qin Guoqiang's explanation.

It has to be said that Qin Guoqiang has real materials.

The detailed analysis of the plan is so rigorous and thorough that one cannot help but admire it.

Jiang Jing's eyes lit up after hearing this. Originally, he positioned himself to focus on the field of thoracic and cardiac surgery, but after Qin Guoqiang's explanation, he was also interested in pancreatic surgery.

Jiang Jing received a Western education.

When he heard the confusion, he raised his hand to express doubts, "Director Qin, I would like to ask why you don't clear the ducts in the gland to ensure the smoothness of the pancreas before cutting the necrotic tissue."

Qin Guoqiang was slightly startled, then he, Xiong Lingling, and Liang Fan introduced Jiang Jing, "Let me introduce to you, this doctor's name is Jiang Jing, and his uncle is Jiang Fu from Yunhai."

Xiong Lingling and Liang Fan had a look of sudden realization in their eyes.

Jiang Fu is Jiang Qiang's younger brother and a surgeon who assists in the field of hepatobiliary and pancreatic surgery. He is well-known throughout the country and has had contact with the three of them at some industry seminars.

Xiong Lingling explained patiently, "It is not impossible to clear the duct first. But it will increase the risk. There is a probability of damaging the accessory pancreatic duct during the operation. This is irreparable damage."

Qin Guoqiang continued what Xiong Lingling said, "We should try our best to avoid high-risk operations during surgery, so as to reduce damage."

Zhao Yuan remained silent beside him.

He is no stranger to pancreatic surgery.

Qin Guoqiang is the chief surgeon of this operation. He respects Qin Guoqiang and will not rashly put forward his own opinions.

Maybe there are better ideas on some details, but it would be a bit abrupt to put them forward.

Zhao Yuan's different understanding of this surgery comes from the time difference in the development of medicine in the two worlds.

For example, in another world, there would be no technical obstacles to clearing pipelines in advance.

There are risks in dredging ahead of time, but there are benefits.

The efficiency of surgery can be improved and the prognosis will be better.

In another world, a special instrument is used to protect the accessory pancreas during the dredging process.

Obviously, in this world, there are no special instruments and the surgery can only be performed according to Qin Guoqiang's rhythm.

Qin Guoqiang said everything he needed to say.

look around.

"Any other suggestions?"

Xiong Lingling and Liang Fan then supplemented Qin Guoqiang's plan.

They recognized Qin Guoqiang's ideas and only put forward their opinions on small details.

Qin Guoqiang did not respond, but politely expressed his gratitude.

There is no need to dwell on the minutiae, as it is of no importance to the success of the operation.

Qin Guoqiang then asked one by one. Tong Zheng was not very familiar with this field and did not make any suggestions.

Qin Guoqiang then looked at Zhao Yuan.

"Dr. Zhao, do you have any comments?"

Zhao Yuan thought for a while and expressed his worries.

"Director Qin, I have been thinking about the root cause of the patient's illness."

Qin Guoqiang frowned, "Pancreatic head cancer is related to the patient's irregular diet. Overeating, drinking and smoking can cause damage to the pancreatic system. Therefore, the majority of patients are male."

Zhao Yuan continued: "I have asked the patient and he has no habit of drinking alcohol or smoking. There are no obvious problems with his diet."

Qin Guoqiang touched his chin and pondered.

If it were anyone else, Qin Guoqiang might have said a few casual words, but the person who raised the question was Zhao Yuan.

Xiong Lingling and Liang Fan remained calm.

But they felt that the scene in front of them was extremely strange.

In my impression, Qin Guoqiang is an extremely proud person.

He actually respected the young man in front of him so much.

Although Qin Guoqiang emphasized at the beginning of the meeting that Zhao Yuan was the leader of the eighth treatment group and the first assistant in this operation.

After all, Zhao Yuan majored in emergency surgery, so he might have something to do in the cardiac field.

But what is involved now is completely unfamiliar territory.

"What do you think is the reason?" Qin Guoqiang asked patiently.

Zhao Yuandao: "Is it possible that his pancreas has congenital malformations, such as pancreatic duct stenosis?"

Everyone was silent.

Patients with congenital pancreatic duct stenosis and duodenal papilla stenosis will even block the normal excretion of pancreatic juice, causing pancreatic juice reflux, causing damage to the pancreatic parenchymal tissue, and may induce the formation of pancreatic cancer in repeated episodes.

A flash of light flashed in Qin Guoqiang's eyes, "The possibility is extremely high. Preoperative inspections must be more careful to verify the problem!"

Zhao Yuan was not worried that Qin Guoqiang would miss the diagnosis.

With Qin Guoqiang's level and complete examination methods, there will be no mistakes in diagnosis.

He was mainly worried about another issue and reminded: "The main problem is the equipment. For example, the existing catheter models and specifications may not meet the specifications. If during the operation, it is found that the equipment does not work, it will be troublesome."

Many equipment have model restrictions, especially pancreatic equipment, which is less likely to be used and has only a few models.

Moreover, the models are all based on European and American standards.

Once the equipment does not match, it can easily lead to the inability to perform the surgery.

During the operation, the surgeon often changes the equipment on the spot while cursing.

For example, orthopedic steel plates can fit perfectly when used on European and American physiques.

But when used on thin patients in the Asian population, they must become fitters.

If Zhao Yuan's prediction is accurate and the pancreatic passage is too narrow, then the catheters on the market may not be usable.

This is like when a war begins and an artillery fire is about to begin, but it turns out that the cannonball is too big and cannot be loaded.

Of course, some people think that Zhao Yuan is unfounded.

For example, Liang Fan.

He felt that Zhao Yuan, who was so young, made irresponsible remarks at the meeting and failed to clarify his position.

Qin Guoqiang respected Zhao Yuan's opinion and told Xiong Lingling, "Please also ask Director Xiong to communicate with the equipment manufacturer in advance to ensure that there are countermeasures in place when the concerns raised by Dr. Zhao arise."

Xiong Lingling still has a good impression of Zhao Yuan.

The legend of Zhao Yuan has long been known to the city doctors.

What's more, she knew that Zhao Yuan's order after Dr. Wang collapsed was to ask the nurse to send Dr. Wang to the Hepatobiliary and Pancreatic Surgery Department.

Zhao Yuan could determine what kind of disease Dr. Wang had by relying solely on physical examination without the aid of equipment.

This indirectly proves that his diagnostic level has reached a very high level.

"Okay! I'll contact the equipment dealer right away."


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